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蛋白C的临床研究。

Clinical studies of protein C.

作者信息

Griffin J H

出版信息

Semin Thromb Hemost. 1984 Apr;10(2):162-6. doi: 10.1055/s-2007-1004419.

DOI:10.1055/s-2007-1004419
PMID:6377499
Abstract

The major clinical importance of plasma protein C is attested to by the strong association between inherited protein C deficiencies of half normal levels and recurrent venous thromboembolic disease. Homozygous protein C deficient individuals do not survive beyond infancy without continuous therapeutic intervention. The spectrum of protein C deficiency is becoming broader and includes patients with both abnormal molecules and half normal levels of functionally active molecules. Rarely, a few young adults with thrombosis have been identified with protein C levels below 25%. Studies of protein C activity have been hampered until the very recent developments of functional assays of plasma protein C. Application of these assays to a wide variety of clinical situations involving thrombotic complications is just beginning and may lead to an explosive proliferation of new data that should prove most fascinating and give much further insight into the contributions of protein C in the regulation of thrombosis.

摘要

遗传性蛋白C水平降至正常一半与复发性静脉血栓栓塞性疾病之间存在密切关联,这证明了血浆蛋白C在临床上的重要性。纯合子蛋白C缺乏的个体若不进行持续治疗干预,在婴儿期之后便无法存活。蛋白C缺乏的范围正在扩大,包括分子异常以及功能活性分子水平降至正常一半的患者。很少有血栓形成的年轻成年人被发现蛋白C水平低于25%。直到最近血浆蛋白C功能测定方法出现,蛋白C活性的研究才受到阻碍。将这些测定方法应用于涉及血栓形成并发症的各种临床情况才刚刚开始,可能会引发新数据的爆发式增长,这些数据将极具吸引力,并能让我们更深入地了解蛋白C在血栓形成调节中的作用。

相似文献

1
Clinical studies of protein C.蛋白C的临床研究。
Semin Thromb Hemost. 1984 Apr;10(2):162-6. doi: 10.1055/s-2007-1004419.
2
Protein C in thromboembolic disease.
Semin Thromb Hemost. 1985 Oct;11(4):387-93. doi: 10.1055/s-2007-1004399.
3
Coumarin necrosis, neonatal purpura fulminans, and protein C deficiency.香豆素坏死、新生儿暴发性紫癜与蛋白C缺乏症。
Arch Dermatol. 1987 Dec;123(12):1701a-1706a.
4
Severe inherited "homozygous" protein C deficiency in a newborn infant.一名新生儿患有严重的遗传性“纯合子”蛋白C缺乏症。
Thromb Haemost. 1984 Aug 31;52(1):53-6.
5
The frequency of type I heterozygous protein S and protein C deficiency in 141 unrelated young patients with venous thrombosis.
Thromb Haemost. 1988 Feb 25;59(1):18-22.
6
Protein C.蛋白C
Prog Hemost Thromb. 1984;7:25-54.
7
Behaviour of protein C inhibitor in intravascular coagulation and liver disease.
Thromb Haemost. 1984 Aug 31;52(1):71-4.
8
Activated protein C resistance--a major risk factor for thrombosis.活化蛋白C抵抗——血栓形成的主要危险因素。
Eur J Clin Chem Clin Biochem. 1997 Jul;35(7):501-16.
9
Protein C deficiency.蛋白C缺乏症。
Haemophilia. 2008 Nov;14(6):1214-21. doi: 10.1111/j.1365-2516.2008.01838.x.
10
Neonatal purpura fulminans due to homozygous protein C or protein S deficiencies.纯合子蛋白C或蛋白S缺乏所致的新生儿暴发性紫癜。
Semin Thromb Hemost. 1990 Oct;16(4):299-309. doi: 10.1055/s-2007-1002683.

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The APC-EPCR-PAR1 axis in sickle cell disease.镰状细胞病中的APC-EPCR-PAR1轴
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2
Internal medicine: the protein C anticoagulant pathway and thrombosis.内科学:蛋白C抗凝途径与血栓形成
West J Med. 1985 Jul;143(1):95-6.
3
Proteolytic maturation of protein C upon engineering the mouse mammary gland to express furin.通过改造小鼠乳腺使其表达弗林蛋白酶实现蛋白C的蛋白水解成熟。
Proc Natl Acad Sci U S A. 1995 Nov 7;92(23):10462-6. doi: 10.1073/pnas.92.23.10462.
4
Two different mechanisms in patients with venous thrombosis and defective fibrinolysis: low concentration of plasminogen activator or increased concentration of plasminogen activator inhibitor.静脉血栓形成且纤维蛋白溶解功能缺陷患者的两种不同机制:纤溶酶原激活物浓度低或纤溶酶原激活物抑制剂浓度升高。
Br Med J (Clin Res Ed). 1985 May 18;290(6480):1453-6. doi: 10.1136/bmj.290.6480.1453.
5
Cloning and characterization of human liver cDNA encoding a protein S precursor.编码蛋白S前体的人肝脏cDNA的克隆与特性分析。
Proc Natl Acad Sci U S A. 1987 Jan;84(2):349-53. doi: 10.1073/pnas.84.2.349.
6
The effect of phospholipids on the activation of protein C by the human thrombin-thrombomodulin complex.磷脂对人凝血酶-血栓调节蛋白复合物激活蛋白C的影响。
Biochem J. 1986 Aug 15;238(1):151-7. doi: 10.1042/bj2380151.
7
Endotoxin enhances tissue factor and suppresses thrombomodulin expression of human vascular endothelium in vitro.内毒素在体外可增强人血管内皮细胞的组织因子表达并抑制血栓调节蛋白的表达。
J Clin Invest. 1987 Jan;79(1):124-30. doi: 10.1172/JCI112772.
8
Interference of blood-coagulation vitamin K-dependent proteins in the activation of human protein C. Involvement of the 4-carboxyglutamic acid domain in two distinct interactions with the thrombin-thrombomodulin complex and with phospholipids.血液凝固维生素K依赖蛋白对人蛋白C激活的干扰。4-羧基谷氨酸结构域在与凝血酶-血栓调节蛋白复合物及磷脂的两种不同相互作用中的参与情况。
Biochem J. 1988 Dec 1;256(2):501-7. doi: 10.1042/bj2560501.
9
Heterozygous protein C deficiency type I.I型杂合蛋白C缺乏症
Blut. 1989 Apr;58(4):201-6. doi: 10.1007/BF00320774.
10
The antiphospholipid antibody dilemma.抗磷脂抗体难题。
Clin Rheumatol. 1990 Mar;9(1 Suppl 1):39-44. doi: 10.1007/BF02205550.